Zomwe zimakhudza shuga m'magazi?

Matenda a shuga ndiofala kwambiri, makamaka mtundu wachiwiri. Amayamba chifukwa cha moyo wosayenera ndipo amatha kulowa mu mtundu woyamba wa jakisoni wa insulin tsiku lililonse. Popanga matenda amtunduwu, wodwalayo amalembetsedwa ndi endocrinologist ndipo amayenera kuyang'aniridwa pafupipafupi.

Kuwonjezeka kwa shuga m'magazi kumaonetsa matenda a kapamba, omwe sangatulutse timadzi tambiri tambiri, kapena thupi silimazindikira.

Wodwala wodwala matenda ashuga ayenera kutsatira malangizo onse omwe dokotala amupatsa - kutsatira zakudya zosankhika zamatumbo ochepa, kuchita masewera olimbitsa thupi komanso kupatula zinthu zomwe zimakhudza shuga.

Ichi ndichifukwa chake ndikofunikira kuti odwala adziwe zomwe zimakhudza kuchuluka kwa shuga m'magazi, chifukwa pali zinthu zambiri zotere. Pansipa pali chidziwitso chokwanira cha zomwe odwala matenda ashuga ayenera kusamala, mitundu yoyamba ndi yachiwiri.

Zambiri pazinthu

Imapereka zinthu zonse zomwe zimadzetsa shuga wambiri ndikufotokoza mwatsatanetsatane zomwe wodwala sangathe kuzisintha. Zambiri:

• kusowa mphamvu zolimbitsa thupi,
• kusowa kupuma
• kupsinjika, chisangalalo,
• osagwirizana ndi zakudya zotchulidwa,
• mowa
• chakudya chamafuta osakwanira,
• kusintha kwa akazi ndi kusintha kwa thupi,
• matenda opatsirana
• kudziwa nyengo
• kutalika pamwamba pa nyanja.

Zinthu monga mkombero wachikazi sizingalephereke. Msambo usanayambe, mwachitsanzo, masiku awiri mpaka atatu asanayambike, wodwalayo amatha kuwonjezera shuga. Mutha kuyesa kusintha pogwiritsa ntchito zakudya, ndipo nthawi zina ndikofunikira kuwonjezera kuchuluka kwa insulin. Nthawi zambiri, ndikayamba magazi, zizindikirazo zimabwelera monga zakhazikika.

Gulu lina la anthu odwala matenda ashuga, mosasamala mtundu wa matenda, amalabadira kusintha kwa nyengo. Ndizosatheka kutsimikiza izi mwanjira iliyonse. Nthawi zambiri pamakhala kuchuluka pang'ono kwa shuga m'nyengo yozizira ndi chilimwe. Ichi ndichifukwa chake ndikofunikira kuti gulu ili la anthu liyesere magazi kunyumba, pogwiritsa ntchito One Touch Ultra glucometer, kuti aziona chithunzi cha matendawa.

Ngati wodwalayo adaganiza zopumula m'mapiri, ndiye kuti ndikofunikira kuti muganizire za kutalika pamwamba pa nyanja. Asayansi atsimikizira kuti kukwera, kutalika kwa machitidwe a metabolic kumachitika mthupi, ndipo kugunda kwa mtima kumachitika pafupipafupi. Muyenera kukhala okonzeka kuchepetsa shuga ndikuchepetsa jakisoni wa insulin yayitali, makamaka ngati imathandizidwa ndi zolimbitsa thupi zolimbitsa thupi.

Thupi la munthu wodwala matenda ashuga limasinthika msanga - limatenga pafupifupi masiku 3-4, kutengera mawonekedwe a thupi. Kenako mlingo wa insulin umakhala womwewo.

Zoyendetsedwa ndi shuga Rise

Nazi zinthu zomwe zimatha kuwongoleredwa ndikuletsa kuchuluka kwa shuga m'magazi. Chachikulu ndikutsatira malamulo ochepa osavuta, ndiye kuti mutha kupewa insulin yowonjezera ndikuletsa hypoglycemia.

Choyambirira chomwe munthu wodwala matenda ashuga ayenera kutsatira ndichoyenera kudya zakudya zabwino. Zakudya zambiri zimakhudza shuga, motero upangiri wa zakudya za endocrinologist uyenera kutsatiridwa 100%.

Zakudya zomwe zimakhala ndi index yayikulu ya glycemic sizimachotsedwa kwina konse kuzakudya. Izi ndi:

1. nyama yamafuta ndi nsomba,
2. batala, kirimu wowawasa,
3. beets, mbatata, kaloti,
4. zipatso zilizonse
5. mowa
6. nthochi, mphesa,
7. mpunga, pasitala,
8. shuga, chokoleti, mafuta a ufa.

Mukamagwiritsa ntchito zinthu zomwe zatchulidwazi, zomwe zili ndi index yayikulu ya glycemic, mtundu wa 2 shuga umasinthira kukhala woyamba. Ndipo ndi mtundu woyamba wa matenda ashuga, wodwalayo angayambitse vuto lalikulu la thanzi, mpaka kukomoka kwa hypoglycemic, pogwiritsa ntchito zinthu izi.

M'pofunika kusankha zakudya zoyenera, kuchotsa zakudya zamafuta. Chakudya chizikhala nthawi 5-6 patsiku, m'magawo ang'onoang'ono, makamaka nthawi imodzi. Kumva njala, komanso kudya kwambiri kumawononga thanzi la wodwala. Ndikofunika kukumbukira lamulo lofunika - njere siziyenera kutsukidwa ndi mkaka ndi mkaka wowawasa, ndikuwonjezera batala.

Mowa ndi chinthu chomwe chimakulitsa shuga wanu wamagazi kwambiri. Mowa ndi thanzi sizigwirizana ndi odwala matenda ashuga. Zimayambitsa kuwonjezeka kwa shuga m'magazi, ndikusokoneza chikondwerero, chomwe ntchito yake imakhala italephera. Kuphatikiza apo, katundu pa chiwindi ukuwonjezeka, omwe amachititsa glycogen, yemwe amachititsa kuchepa kwa shuga m'magazi.

Mowa umawononga mitsempha, umawawononga, ndipo umadwala kale shuga, womwe umasokoneza dongosolo lonse lamanjenje. Chifukwa chake mowa, ngakhale ulingo wochepa, umaperekedwa kwa odwala omwe ali ndi matenda amtundu uliwonse wa shuga.

M'matenda opatsirana, omwe odwala matenda ashuga amatenga kwambiri kuposa anthu athanzi, muyenera kuchita izi:

• Pogwiritsa ntchito glucometer, yikani shuga m'magazi anayi pa tsiku,
• Gwiritsani ntchito zingwe zoyesera kuti muone ma ketoni mumkodzo wanu.

Ngakhale matenda ang'onoang'ono, monga chimfine ndi mphuno, amafunika kuthandizidwa kwambiri. Kwa mabakiteriya komanso matenda, thupi la wodwala matenda ashuga limathandiza kwambiri pakubala. Nthawi zambiri, kuchuluka kwa shuga kumakwera tsiku lisanayambike zizindikiro zoyambirira za matendawa. Ngati kwamikodzo akudwala, ndiye kuti kufunika kwa insulini kungakulitse katatu.

Kupsinjika, kukwiya, kukwiya kungayambitse kulumpha kwakuthwa kwa zizindikiro za shuga, ndikofunikira kwambiri kuti musadere nkhawa pamavuto. Ngati wodwala akudziwa kuti posachedwa alowa m'mavuto, mkati maora angapo, ndiye kuti ndibwino kupaka insulin yochepa mu 1 - 2 PIECES. Izi zimathandiza kupewa kulumikizana ndi shuga ndikuponderezedwa kwa mahomoni opsinjika, omwe amakhudza kwambiri kuyamwa kwa glucose ndi thupi. Kupatula apo, ngati wodwala matenda ashuga ali ndi nkhawa, angafunikire kuwonjezera kuchuluka kwa insulin. Chifukwa chake ndi bwino kupewa kudumpha mosadukiza muzizindikiro.

Kumwa madzi osakwanira kawiri kawiri kumawononga thanzi la munthu wodwala matenda ashuga. Njira yabwino yokwaniritsira izi ndi madzi oyeretsedwa. Mu shuga, zakumwa zotsatirazi ndizoletsedwa:

1. zipatso ndi masamba,
2. sodas zabwino
3. makampani opanga magetsi.

Kuwerengera kuchuluka kwa madzi ocheperako pakudya tsiku lililonse kuyenera kutengera kuchuluka kwa zopatsa mphamvu. Pali 1 ml yamadzimadzi pa calorie iliyonse. Siziwopsa ngati izi zidakwaniritsidwa. Inde, ngati wodwala satenga mankhwala okodzetsa, kapena samadwala matenda a impso.

Muthanso kumwa machiritso am'madzi, osaposa 100 ml patsiku, sabata yoyamba. Pambuyo pake, mutha kuwonjezera kuchuluka kwa mchere wam'madzi mpaka 250 ml.

Iyenera kutengedwa mphindi 45 musanadye, ndi acidity yam'mimba, ndi maola 1.5, ndikuwonjezeka.

Zochita zolimbitsa thupi

Wodwala matenda a shuga a 2 amafunikira kuchita zolimbitsa thupi tsiku ndi tsiku. Ndi mtundu woyamba, muyenera kufunsa dokotala wanu pasadakhale za zamasewera, chifukwa ngakhale katundu wocheperako amatha kuyambitsa shuga.

Anthu odwala matenda ashuga amtundu uliwonse amayenera kuyenda mu mpweya wabwino, osachepera mphindi 45 patsiku.

Ndi matenda a shuga a 2, mutha kusambira, zomwe zimathandiza pa:

• kukhazikika kwa shuga m'magazi
• kulimbitsa minofu
• kusintha kwa minofu ndi mafupa dongosolo.

Ngati nthawi kapena ndalama sizilola, ndiye kuti muyenera kuganizira zamtunduwu, monga kuyenda. Uwu ndiye mtundu wonyamula katundu pang'ono, woyenera ngakhale oyamba masewera, chinthu chachikulu ndikutha kudziwa njira yoyenera yoyendera.

Kuyenda kumapereka maubwino m'thupi la wodwalayo:

1. Amasintha magazi m'matumbo,
2. amakwaniritsa magazi ndi mpweya,
3. minofu ya miyendo, matako, mikono ndi kumbuyo ndikuphunzitsidwa.

Zithandizo za anthu

Mitundu ya Tangerine ya matenda ashuga yatchuka kwambiri chifukwa cha kuchiritsa kwawo. Ali ndi mavitamini ndi michere yambiri. Ndipo mafuta ofunikira omwe amaphatikizidwa ndikuthandizira kukhazikitsa bata kwamanjenje. Mutha kusungitsa peels za tangerine pasadakhale, chifukwa zipatso izi sizikhala pa counter nthawi iliyonse pachaka.

Pukuta mafinya mpaka chinyontho chidzazimiririka. Mutha kuphika tiyi wa tiyi wa tangerine, womwe ungakhalepo nthawi zonse ndikupanga kulikonse. Chachikulu ndikukonzekera chindacho mwachindunji kuti chigwiritsidwe ntchito zingapo. Idzatengana ndi peel yowuma, yomwe ili pansi mu smnder.

Kapu imodzi, mudzafunika supuni ziwiri za chinthu chophwanyika, chomwe chimadzazidwa ndi 200 ml ya madzi otentha ndikuthiriridwa kwa mphindi 5. Kuchiritsa tiyi wa tangerine ndi wokonzeka kumwa. Mlingo wovomerezeka watsiku ndi tsiku umakhala mpaka makapu awiri, kumwa mosasamala za kudya.

Udzu ngati chikopa cha mbuzi uli ndi glycokinin. Ili ndi zinthu izi:

• Matendawa shuga
• amachotsa mafuta m'thupi
• imadzutsa kapamba.

Pazinthuzo, mumafunikira supuni ziwiri za nyemba zouma ndi udzu womwe, womwe umathiridwa ndi 500 ml ya madzi ofunda, pambuyo pazomwe zimayikidwa mu bafa lamadzi ndikuphika kwa mphindi 15. Osaphimba msuzi ndi chivindikiro. Sanjani madziwo ndikutsanulira madzi oyeretsedwa mumtsinje woonda kuti mukwaniritse voliyumu yoyambayo. Kanemayo munkhaniyi akuwonetsa zina zomwe mungachite kuti muchepetse shuga.

Momwe nyengo imakhudzira shuga wamagazi

Mosasamala kanthu kuti mukutuluka thukuta kapena kugwedezeka chifukwa cha kuzizira, kusamala kuyenera kuchitika mukamafufuza za shuga kuti musapatsidwe shuga m'magazi. Kodi mungadziteteze bwanji ku matenda ashuga? Tikukupatsani upangiri wa akatswiri.

Timawongolera shuga

Poyamba, akatswiri amapereka upangiri pa momwe angapewere shuga mu shuga:

• Ziribe kanthu kuti ndi nthawi yanji pachaka yomwe muli pa kalendala, onetsetsani kuti mitsempha yoyesa magazi ndi mankhwala zimasungidwa pamalo abwino, owuma.
• Pezani malo omwe mungathe kusewera masewera chaka chonse. Zingakhale bwino ngati mutha kuchita masewera olimbitsa thupi kunyumba, malo ochitira masewera olimbitsa thupi omwe ali pafupi.
• Yang'anirani kulemera kwanu kwa chaka chonse. Ndikatentha kapena kuzizira kunja, ndizosavuta kukhala bwino. Ngati mutha kuwongolera kunenepa kwanu, motere mutha kuwongolera nawonso shuga.

Nyengo Imakhudza Matenda A shuga

Kutentha kwa mpweya kunja kwa zenera kumasintha, kumakhudzanso misempha ya magazi, makamaka matenda ashuga. Nthawi zonse kutentha ndi chisanu zimakhudza zida zomwe zimayeza shuga.

Nyengo zimakhudza ngakhale kukonzekera kwake. Kuphatikiza apo, kudumphadumpha mu kutentha kwa mpweya kumakhala ndi zotsatira zoyipa pakutha kwa thupi kupanga insulin.

Nthawi yomweyo, kusintha kwa kutentha pamsewu kumakhudza ngakhale mphamvu ya mankhwala omwe ali ndi insulin pakapangidwe.

Kafukufuku akuwonetsa kuti ndikatentha kunja, anthu ambiri omwe ali ndi matenda ashuga amafika kuchipinda chodzidzimutsa. Nthawi zambiri amagonekedwa m'chipatala chifukwa cha kutentha.

Inde, m'chilimwe kuchuluka kwaimfa pakati pa odwala omwe apezeka ndi matenda a shuga chifukwa cha kuwonongeka kwa kutentha kumawonjezeka, koma kuzizira kumatha kusokoneza njira ya matendawa.

Simuyenera kuloleza nyengo kusokoneza thanzi lanu komanso njira ya matenda anu a shuga. Ngati mukusamala, mutha kuthamangitsa chilengedwe cha Amayi.

Malangizo 6 opulumutsira kutentha kwa chilimwe

Onani malingaliro awa kuti muthane ndi zizindikiro za matenda a shuga mellitus kutentha mukamakwera kwambiri:

Lori Rust, dotolo wovomerezeka, dokotala wazachipatala wa ku Mayo Clinic (Arizona, USA), akufotokoza kuti: “Vuto ndilakuti mukatentha, nthawi zambiri zimakhala zosavuta kutsuka madzi, makamaka ndi matenda ashuga.

Mukasowa madzi am'madzi, mumakhala ndi shuga yambiri yamagazi: magazi ochepera amadutsa impso. Chifukwa cha izi, impso sizitha kuchotsa shuga wambiri (shuga) m'thupi pakukodza.

"Mukatentha kunja, muyenera kumwa madzi ambiri kapena zakumwa zopanda shuga. Musadikire mpaka kuti muzimva ludzu, ”anachenjeza motero dokotalayo.

2. Sungani mankhwalawo moyenera

Kutentha kwambiri kwa chilimwe kumatha kusokoneza:

• pa zabwino zamankhwala
• pantchito ya mita,
• pa zingwe zoyeserera kuti mupeze shuga.

"Mukatentha kunja, kuchuluka kwa insulin m'mankhwala omwe amaperekedwa chifukwa cha matenda a shuga amachepetsa," akutero Dr. Rust. Onetsetsani kuti mukusunga mankhwalawo molondola ngati kunyumba kuli pamwamba pa 25 digiri Celsius. Osangowasiya mgalimoto tsiku lotentha. Rust anachenjeza kuti: “M'kati mwagalimoto yanu, kutentha kwa mpweya kumatha kudumpha mpaka madigiri 65.

Ngati mupita paulendo, musaiwale kubwera ndi mankhwala omwe muyenera kumwa ndi matenda a shuga a 2. Mungafunike kuwanyamula m'thumba lanu lozizira. Sungani kukonzekera kutali ndi ayezi m'thumba ili.

3. Pewani kutentha mu shuga

Kuchita masewera olimbitsa thupi ndi gawo lofunikira pochiza matenda a shuga. Koma sungathe kuchita masewera mumsewu padzuwa.

"Chitani masewera olimbitsa thupi m'mawa kapena dzuwa litalowa," akulangiza motero Angela Jeanne, yemwe ndi katswiri wa zaumoyo, pulofesa wa matenda ashuga ku Yunivesite ya Maryland, ku Center for Diabetes and Endocrinology, omwe amalankhulira pa University of Nutrition and Dietetics.

Ngati simungathe kuchita masewera olimbitsa thupi m'mawa kapena madzulo, gwiritsani ntchito nthawi yochita masewera olimbitsa thupi, yomwe ili ndi mpweya wabwino.

4. Dziwani zizindikiro za hypoglycemia

Zina mwazomwe zimachitika chifukwa cha kutentha thupi ndizofanana ndi zomwe zimachitikira munthu yemwe ali ndi hypoglycemia (shuga wotsika). Zizindikiro zotsatirazi za kutentha kwa sitiroko zimawonedwa:

• thukuta
• chizungulire
• kunjenjemera.

"Mungaganize kuti izi zatheka chifukwa cha kutentha mumsewu. M'malo mwake, chifukwa cha nyengo, kuchuluka kwa shuga m'magazi kumatha kutsika kwambiri, ndipo izi ndizowopsa kwa odwala omwe amalumpha shuga, ”anachenjeza Rust.

Ngati mukudziwa zizindikiro zochenjeza za shuga zamagazi ochepa, zimakhala zosavuta kuthana ndi zizindikiro zosasangalatsa. Yesani kudya zakudya zamagulu ochulukirapo m'zakudya zanu kuti mudzutse shuga. Muyenera kudziwa momwe mungaperekere thandizo ladzidzidzi, izi ndizothandiza, makamaka matenda a endocrine.

6. Yang'anirani miyendo yomwe ili ndi matenda ashuga

Odwala omwe ali ndi matenda ashuga ayenera kuwonetsetsa kwambiri mapazi awo. M'chilimwe, mumayesedwa kuti muziyenda opanda nsapato kapena kuvala nsapato zotseguka. Koma zitha kutha kwa inu.

Nthawi zonse muzivala nsapato zomwe zimakhala bwino kumapazi kwanu, ngakhale miyezi yotentha. Pamapeto pa tsiku, yang'anirani phazi lanu:

Ngati mungapeze zina mwazomwe zili pamwambapa, kuphatikiza ndi zizindikiro za matenda oyamba ndi bakiteriya, funsani dokotala wanu nthawi yomweyo.

2. Yesani kupewa kupewa chimfine

Zima ndi nyengo yozizira, ndipo chimfine chimakonda kuvala panthawiyi.

Mukadwala, mumapanikizika, ndipo chifukwa cha izi, shuga wamagazi amatha kukwera, makamaka ngati mukuvutika ndi matenda ashuga.

Kuphatikiza apo, mukadzimva kuti simusangalala, mwina simukudya chakudya choyenera cha matenda ashuga. Sambani m'manja ndi sopo ndi madzi pafupipafupi kuti musafalitse majeremusi.

A Djinn amalimbikitsa "odwala matenda ashuga:

• tchuthi chotseka chodwala
• idyani supu zowonjezera
• imwani madzi a chifuwa popanda shuga,
• imwani tiyi wambiri.

Izi ndi njira zosavuta kuchira. ” Komanso, onetsetsani kuti mwawombera.

3. Pewani kunenepa kwambiri.

Panthawi ya tchuthi, zimakhala zovuta kutsatira zakudya zamagulu a shuga. Zambiri zomwe amachita patebulopo zimakhala ndi zakudya zamagulu ambiri, zomwe zimapangitsa shuga. Ganizirani mofatsa za zakudya zanu, apo ayi mudzadabwitsidwa mosasangalatsa poyang'ana manambala pamiyeso. Ngakhale kuwonjezeka pang'ono kwa thupi kumachulukitsa zinthu.

Werengani komanso: Chifukwa chiyani ndizovuta kwambiri kuti muchepetse thupi ndi matenda ashuga

4. Samalirani miyendo yanu

Matenda a shuga angayambitse kuchepa kwa chidwi ndi zala zakumiyendo ndi kumapazi, komanso mawonekedwe a phazi la matenda ashuga odwala. Chifukwa chake, ndikofunikira kuvala nsapato zoyenera, makamaka ngati bwalo lili chisanu.

Ikani moisturizer pakhungu lanu kuti uzikhala wathanzi. Unikani miyendo yanu mosamala usiku uliwonse. Ngati mukuwona kuwonongeka kwa khungu - mabala omwe samachiritsa, funsani kwa dokotala ndipo musazengereze ulendowu.

5. Khalani manja ofunda

"Ngati muli ndi manja ozizira, mungafunike kuwawotha kuti muchepetse magazi," Rust amalangiza odwala omwe ali ndi matenda ashuga. Sambani m'madzi ofunda musanayang'ane shuga yanu.

Mamita amagwira bwino kwambiri kutentha kwa chipinda cha madigiri 10 mpaka 40.

6. Kumbukirani za zolimbitsa thupi

Inde, nthawi yozizira ndizosavuta kuti mudzilimbikitse kusewera masewera. Koma zolimbitsa thupi pochiza matenda ashuga ndizothandiza kwambiri chifukwa zimathandizira ngakhale shuga.

Ngati mumakonda kuchita panja, valani bwino. Kapenanso pitani kumalo olimbitsa thupi.

Kunyumba, mungathenso kuchita:

• siyani pamalo okwera ndikuyenda masitepe
• kwezani mabodza
• Chitani masewera olimbitsa thupi ndikutambasula pogwiritsa ntchito maphunziro apakanema apaintaneti.

Kukhala ndi matenda ashuga sikophweka kokwanira. Komabe, ndizotheka kukonza moyo wanu, chakudya, chizolowezi chatsiku ndi tsiku - kuti mukhale omasuka. Mulimonsemo, samalani!

Momwe mungachepetse shuga m'magazi anu ndi matenda a shuga a 2

Ma mahomoni anayi akuluakulu ndi omwe amayang'anira kuthamanga kwa shuga m'magazi:
Insulin yomwe imapangidwa m'maselo a beta a kapamba imathandiza thupi kugwiritsira ntchito shuga kuzakudya, zomwe zimapangitsa gawo lake kulowa m'maselo a thupi. Mwa anthu omwe ali ndi matenda a shuga a 2, kupanga insulini kumayamba kuchepetsedwa ndipo, nthawi yomweyo, kukana insulin (chitetezo cha chitetezo cha maselo amthupi ku mahomoni awa) ukuwonjezeka.

Amylin, wotulutsidwa m'maselo a beta, amaletsa kutulutsa shuga m'magazi atatha kudya, ndikuchepetsa kuyamwa kwam'mimba ndikuwonjezera kukhuta. Anthu omwe ali ndi matenda amtundu wa 1 ndi mtundu wa 2 ali ndi vuto la amylin.

Ma insretins, gulu la mahomoni lotulutsidwa m'matumbo, kuphatikizapo glucagon-peptide-1 (GLP-1), amathandizira kutulutsa insulin mukatha kudya, yomwe imachepetsa kutsekeka kwam'mimba, imasunga kumva bwino, kuchedwa kutulutsa shuga m'magazi ndikuletsa kubisalira glucagon kuchokera ku kapamba, kupereka shuga wambiri m'magazi.

Glucagon yemwe amapangidwa m'maselo a alpha a kapamba amasokoneza shuga omwe amasungidwa m'chiwindi ndi minofu yam'mimba ndikuwabweza kuti apatse thupi mphamvu panthawi yomwe glucose sakupezeka kuchokera ku chakudya.

Popanda matenda a shuga, thupi limayendetsa kusintha kwa glucose komanso kufunika kwake kwa maola 24 patsiku. M'dongosolo lino, zonyamula ma mahoni anayi zimagwiritsidwa ntchito, kuphatikiza apo pali kusinthana kwachidziwitso pakati paubongo, matumbo, kapamba ndi chiwindi. Umu ndi momwe dongosololi limagwirira ntchito.

Kuthamanga: Mafuta a m'magazi akatsika kuchokera pazakudya zambiri zomaliza, kapamba amatulutsa insulin.

Nthawi yomweyo, mahomoni ena awiri amafooka: amylin ndi glucagon-peptide-1 (GLP-1), omwe amathandiza kusunga ndikugwiritsa ntchito shuga. Homoni yachinayi, glucagon, imaphatikizidwira pantchitoyi kuti zitsimikizike kuti magazi azitha bwanji.

Glucagon imatumiza mtundu wa uthenga wa chiwindi womwe glucose amafunika kupangidwa kuchokera ku mphamvu yosungidwa.

Pambuyo pa chakudya: Chakudya chimadzutsa shuga wamagazi ndikutumiza uthenga kumimba yamatumbo wokhudza kutulutsidwa kwa GLP-1, komwe kumayambitsa insulin ndi amylin.

Ma mahomoni amathandiza maselo "kutenga" glucose pazakudya kuti apatse thupi "mafuta." Valavu ya glucagon imazimitsidwa, chifukwa pakakhala chakudya, thupi silifunikira glucose ku chiwindi.

Mphamvu ya chakudya m'mwazi wa magazi, ngakhale mutakhala ndi chakudya chopatsa thanzi, chokhala ndi mafuta ambiri, simatha maola 6.

Type 2 shuga mukamagona

Ndi chitukuko cha matenda a shuga omwe amapezeka, kuwongolera kwa shuga m'magazi kumalephera. Izi ndizomwe zimachitika wodwala yemwe ali ndi matenda ashuga a mtundu 2 atagona.

"Usiku, ziwindi ndi minyewa yam'mimba imalandira uthenga wokhudza kuchuluka kwa glucagon komanso kufunika kowonjezera masitolo a shuga, chifukwa munthu amagona osadya," atero a Marty Irons, katswiri wazachipatala komanso matenda a shuga.

- Pali kuchuluka kwa shuga kochokera ku chiwindi ndi minofu, sikangayime, chifukwa thupi lilibe GLP-1, insulin kapena amylin yokwanira. Kusintha kwa “mayankho” pakati pa ziwalo kumasokonezeka, ndipo kumatha kuchitika nthawi zonse. ”

Kuthamanga kwambiri kwa shuga m'magazi, makamaka zaka zoyambirira za matenda ashuga a 2, ndi chifukwa cha kusalinganika kwa mahomoni. Mutha kutsutsa kuchuluka kwam'mawa kwambiri ngati mumadya chakudya chamadzulo cham'mawa kapena chogona, koma makamaka za mahomoni.

Ndikosatheka kukonza kwathunthu kusakhazikika kwa mahomoni a shuga omwe adapezeka, koma njira zina zimatha kuchitidwa motsutsana ndi kusala kwambiri magazi. "Kuyesedwa motsogozedwa ndi dokotala wanu," akulangizani Arlene Monk, wothandizira pachipatala ku International Diabetes Center. Nazi njira zingapo zothandizira kukonza bwino ntchito yanu yam'mawa.

Yambani kumwa mankhwala, kusintha mankhwalawo, kapena kuwonjezera watsopano.

Dr. Irons anati: "Anthu ambiri atapezeka kuti amupeza ndi matendawa amayamba kumwa mankhwala ochepetsa shuga kuti athe kulimbana ndi matenda a insulin komanso kufooka kwa mahomoni," atero Dr. Irons.

Mankhwala ofala kwambiri, metformin, amachepetsa kupanga shuga usiku. Margaret Lee tsopano akutenga metformin. Kwa iye, monga ena ambiri, ichi chakhala chimodzi mwazinthu zofunika kwambiri pakuchepetsa shuga la magazi.

Pali mankhwala ena amakono omwe amafunsidwa kumwa kapena kuwonjezera pa mankhwala omwe adamwa kale, pomwe zolinga za shuga zamagazi sizingachitike.

Oral inhibitors a dipeptidyl peptidase-4 (DPP-4), monga Januvia ndi Onglisa, amasunganso mahomoni ena a GLP-1 pozungulira.

Agonists amphamvu kwambiri a GLP-1, jakisoni a Bayet (kawiri pa tsiku) ndi Victoza (kamodzi pa tsiku) amalimbikitsa kuchuluka kwa GLP-1 kupezeka m'thupi. Odwala ena omwe amamwa mankhwalawa amachepetsa thupi.

"Anthu ambiri omwe ali ndi matenda a shuga a 2, omwe akupita patsogolo (makamaka zaka zopitilira 10), amakakamizika kumwa insulin yowonjezerapo kuthana ndi shuga ndimagazi ndi zina zambiri," akutero Irons. "Pongoyambira, madokotala amatipatsa mankhwala omwe akhala akuchita kwa nthawi yayitali monga Lantus kapena Levemir."

Ndataya kilos. Kuchepetsa thupi, makamaka kuwonongedwa kwa matenda ashuga a mtundu 2, kungathandize kukulitsa zovuta za mankhwala osokoneza bongo komanso kuchepetsa magazi. Arlene Monk akupereka njira yabwino kwambiri: "Sinthani moyo wanu, sankhani zakudya zabwino, chepetsani magawo, onjezerani masewera olimbitsa thupi."

Mudzaona shuga akulowa pansi mwachangu kwambiri kuposa mivi yanu yotsala. "Popeza ndachepa thupi, ndidapeza hemoglobin A1 wambiri 5.8% poyerekeza 6.9% m'mbuyomu, ndipo shuga wanga wapakati adatsika kuchoka pa 9 mpaka 5 mmol / L," atero m'modzi mwa odwala pachipatalachi.

Anataya makilogalamu 15, kuchepetsa kudya zamafuta ndi zakudya ndi shuga wowonjezereka, komanso kuyang'anira kuchuluka kwa mavitamini.

Koma kwa iwo omwe apezeka ndi matenda a shuga a 2 kwa nthawi yayitali, kuchepa thupi kokha kuti achepetse kuthamanga kwa shuga m'magazi kungakhale kokwanira - mankhwala amafunikira.

Khalani ndi zakudya zam'maso musanagone. "Kutsegula pang'ono kwa kugona kwanu komwe kukubwera, osati magalamu 20 a chakudya, kungakuthandizeni kudzuka ndi shuga wabwino kwambiri," anatero Monk. Izi zimachepetsa nthawi yowonjezera kupanga shuga. Margaret Lee akukhulupirira kuti iyi inali njira imodzi yabwino yolembetsera iye kuti achepetse kusala kudya. Sunthani zina.

Sizofunikira kwenikweni nthawi yanji masana komanso masewera olimbitsa thupi omwe mukuchita - kusuntha kowonjezereka kumathandizira chidwi chamthupi cha insulini. "Kukhazikika kumavulaza thanzi. Bwino osachepera kalikonse, koma koposa, bwino, ”akutero Monk. Pamodzi ndi dotolo wanu, tengani mitundu yoyenera yankho labwino.

Onani zinthu zonse: shuga, glycosylated hemoglobin A1c, moyo wanu, zakudya, komanso zakudya. Yesani zosankha zanu pafupipafupi ndi mayeso. Kuthamanga shuga m'magazi kungasonyeze njira yoti musunthire. Macheke usiku adzaunikira kusintha komwe kukuchitika nthawi ino.

Khalani okonzeka kusintha mawonekedwe ngati simungathe kukwaniritsa zolinga zanu mwachangu.

Zina zoyambitsa mawa kwambiri

Nazi zochitika zina ziwiri zomwe zingayambitse kuthamanga kwa shuga m'magazi: Chochitika cham'mawa (hyperglycemia yam'mawa) chimachitika monga gawo la zochitika zathupi zathupi zomwe zimachitika tsiku lililonse kuti mudzuke ndi kuyamba tsiku lanu. Pakadali pano, mahomoni amamasulidwa, monga mahomoni okula ndi cortisol, omwe amalimbikitsa shuga. Thupi lopanda matenda a shuga limayankha m'bandakucha m'mawa mwakungotulutsa mphamvu yowonjezera ya mahomoni omwe amayendetsa shuga m'magazi. Izi sizichitika ngati muli ndi matenda amtundu 2 kapena matenda ashuga a 2. Somoji syndrome (ricocheted hyperglycemia) ndi shuga othamanga kwambiri wamagazi, mwina chifukwa chiwindi chimatulutsa shuga ochulukirapo usiku usiku poyankha hypoglycemia (shuga m'magazi). Somoji syndrome sichizolowereka matenda amtundu wa 2 shuga.

Zakudya zomwe zimachepetsa shuga m'magazi: kuchuluka kwa shuga mthupi ndi kukonza kwake kudzera muzakudya

Matenda a shuga ndi matenda oopsa omwe amachititsa kuti mabungwe a endocrine asamachite bwino. Chimakhala chosokoneza mayendedwe amoyo wa wodwalayo, popeza kusungabe ntchito zofunika kwa wodwala wodwala matenda ashuga kumafuna kuti wodwalayo awonenso zakudya ndikukana kugwiritsa ntchito zakudya zambiri zomwe anthu athanzi amadya popanda zoletsa.

Ndipo izi sizongopanga maswiti, komanso malamulo onse omwe amayenera kutsatiridwa, powonera kadyedwe. Munthu wodwala matenda a shuga sayenera kudziwa zakudya zokha, komanso zakudya zomwe zimachepetsa shuga. Zakudya zoyenera zimatha kukhala mankhwala pankhaniyi.

Kulimbitsa thupi la odwala matenda ashuga kumafunikira chidziwitso cha kapangidwe ndi zakudya zomwe zimagwiritsidwa ntchito, komanso momwe zimakhudzira shuga. Munthu ayenera kudziwa malamulo okhwima omwe amadyetsedwa ndi kadyedwe ndikutsatira moyo wake wonse kuti asayambitse vuto la matenda ashuga, lomwe limatha kumapeto.

Kodi zizikhala bwanji?

Kuchuluka kwa shuga m'magazi kuyenera kukhala kwakukulu kotero kuti mphamvu ndizokwanira ziwalo zonse za mthupi ndi mthupi, koma palibe chotsalira chomwe chimayenera kuthiridwa mkodzo. Ngati zomwe glucose ali nazo zitha, titha kulankhula za mkhalidwe wa munthu, womwe umatchedwa hyperglycemia.

Potere, wodwalayo amangofunika chidziwitso chokhudza zakudya zomwe zimachepetsa shuga la magazi. Zimachitika kuti wodwala ali ndi vuto lakelo, ndiye kuti madokotala amawazindikira kuti akuphwanya metabolism.

Kuchuluka kwa shuga kwa nthawi yayitali pogwiritsa ntchito kuchuluka kwake m'magazi chifukwa cha thupi kumatha kukhala ndi zotsatira zosasangalatsa. Organs ndi minofu ilibe nthawi yoti imidwe michere mokwanira, hyperglycemia imabweretsa kuwonongeka kwa kapamba (kupanga insulin) komanso kufunika kochotsa shuga mumkodzo.

Mavuto akulu a metabolic, kumasulidwa kwa poizoni ndi poyizoni thupi lonse ndizotsatira za hyperglycemia popanda chithandizo chokwanira cha wodwalayo. Matenda ofooka samamvekanso ndi odwala, ndi kukulira kwa vutoli, munthu amayamba kudwala matenda osangalatsa a shuga.

Pozindikira kuti pali shuga wambiri, kuyezetsa kosiyanasiyana kumachitika, ntchito yake ndikuwunika kuchuluka kwa glucose omwe amapezeka munthawi zosiyanasiyana zolimbitsa thupi: pamimba yopanda kanthu, maola ochepa mutatha kudya. Kukula kwa shuga m'mwazi kukuwonetsedwa patebulo lotsatirali:

Ndi zakudya ziti zomwe zingakhale zothandiza kwambiri

Kwa anthu omwe ali ndi shuga yayikulu, zakudya zomwe zimakhala ndi glycemic index yochepa zimawonedwa kuti ndizopindulitsa kwambiri. Zakudya zowonjezera pang'onopang'ono zimalowa m'magazi pang'onopang'ono, osatsogolera pakupepuka kwa glucose.

Zinthu zomwe zili mmenemo zimapatsa thanzi komanso kuteteza ziwalo ndi minofu, kuthandiza kukhalanso ndi thanzi. Ndikofunikira kuti munthu azitha kudya mokwanira, atakhala ndi vuto logaya chakudya, kuti zinthu zonse zofunika zizilowa mthupi popanda kudumpha mu hemoglobin.

Zolemba Pazakudya Zosokoneza Mafuta

Chofunikira kwambiri pakudya kwa munthu yemwe akudwala matenda ashuga ndi zinthu zochepetsa shuga. Amakhala othandizira akulu kwa wodwala polimbana ndi matendawa, chifukwa amathandiza kutsika shuga wamagazi pakafunika.

Zakudya zotsitsa shuga:

• Zamasamba (makamaka zobiriwira) ziyenera kuphatikizidwa muzakudya. Zitsamba zatsopano, zomwe zitha kugulidwa m'masitolo chaka chonse kapenanso kukulira palokha, ndizothandiza kwambiri.
• Zipatso (mitundu ina) imatha kukhala othandiza. Zipatso za citrus, makamaka mandimu ndi mphesa, zimagwira ntchito yabwino. Madokotala amalimbikitsa kuti odwala matenda ashuga azitha kudya chivwende nthawi yayitali.
• Nthambi zazing'ono thandizirani kuchepa kwa magazi. Ndizopatsa thanzi komanso zimakhala ndi fiber zambiri zomwe zimakonza chimbudzi.
• Zonunkhira, monga adyo, mpiru ndi ginger, ndikofunikira kudya ndi chakudya kapena pawokha, chosambitsidwa ndi madzi.
• Zakudya zam'nyanja ndi atsogoleri pazothandiza, amakhala ndi mapuloteni ambiri komanso ochepa mafuta, motero amatha kudyedwa ndi hyperglycemia, osawopa kuvulaza thupi lanu.

Zakudya zamagazi zochepetsa shuga kuti zithandizire kuchepetsa shuga m'thupi lanu

Odwala omwe ali ndi vuto la metabolic (hyperglycemia, hypoglycemia) ayenera kukhala ndi chidziwitso cha zakudya zomwe zimakhalapo kuti muchepetse shuga. Ndi chithandizo chawo, muthanso kusintha zomwe zili m'magaziwo, ndikuthana ndi mawonekedwe amtundu umodzi kapena umodzi.

Mankhwala amathandizira kuti magazi azisungidwa bwino, koma popanda malingaliro oyenera pazakudya, zomwe ziyenera kuchitika molingana ndi malingaliro a dokotala, zomwe wodwala sangachite sizingatheke.

Wodwala ayenera kudziwa zomwe angadye, komanso zomwe zakudya zomwe sizidya.Kupatuka ku malingaliro a dokotala ndikuwoneka ndikuwopseza thanzi komanso ngakhale moyo wa wodwalayo, motero, kudya kwa odwala matenda ashuga ndikofunikira kwambiri.

Ndi zakudya

Popanda kutha kuthana ndi shuga m'magazi kudzera mu chakudya, wodwalayo sangakhale ndi moyo ngati ali ndi matenda ashuga.

Ayenera kudziwa zomwe mungadye, komanso zomwe ziyenera kutayidwa m'magulu, ndiz zakudya ziti zomwe zingachepetse shuga. Izi ndizofunikira kwa odwala matenda ashuga.

Ntchito yake yayikulu ndikupewa kuchulukana kwadzidzidzi mu glucose m'thupi, apo ayi imakhala yodziwika ndi zotsatira zoyipa.

Zakudya zamtundu 1 shuga

Kafukufuku wopitilira komanso chidziwitso cha madotolo chimatsimikizira kuti zakudya zamtundu woyamba wa shuga zitha kusintha. Chakudya chopatsa thanzi pamaso pa matendawa chimatenga nthawi yayitali ndipo chimateteza motsutsana ndi zovuta zazikulu.

Mfundo zazikuluzikulu zomwe wodwala ayenera kutsatira:

• Kulemera kwakuthupi koyenera kumayenera kusungidwa.
• Musanadye, muyenera kuwerengera kuchuluka kwa insulin "yayifupi", molingana ndi kuchuluka kwa chakudya chambiri chomwe wodwala akufuna kudya. Muyenera kuyika chidwi ndi zinthu zomwe zimakhala ndi index ya glycemic yotsika.
• Kuchepetsa mafuta ndikofunikira kwa anthu onenepa kwambiri. Ndi thupi labwinobwino mwa wodwala komanso kusapezeka kwa cholesterol yayikulu m'magazi, sizofunikira.

Zakudya zama carb zotsika zimawonetsa kuti wodwalayo amakonda zakudya zokhala ndi index yotsika ya glycemic ndikuwasamalira kukhala ndi fiber yokwanira muzakudya.

Pazocheperako, mumatha kudya mchere, shuga ndi mizimu. Palibe chifukwa chochepetsera zopatsa mphamvu pokhapokha mutavomerezedwa ndi katswiri wazakudya.

Ndikofunikira kuphatikiza zakudya kuti muchepetse shuga m'magazi, zimathandizira kuthana ndi vutoli.

Mtundu wachiwiri wa matenda ashuga ndi kubwezerera kwawo

Zakudya zodwala matenda a shuga a 2 zimafunikira njira yodalirika kuchokera kwa wodwalayo ndikutsata mfundo zoyambirira zomwe zingathandize kukhalabe ndi thanzi la wodwalayo komanso kupewa kutumphukira m'magazi a magazi:

• Chisamaliro chiyenera kuchitidwa kuti zakudya zokhala ndi zovuta zomanga thupi (ndiwo zamasamba, chimanga) ndizomwe zimapatsa thanzi. Mbatata, mpunga ndi mkate ziyenera kuchepetsedwa kapena kupatulidwa muzakudya.
• Pazocheperako, mumatha kudya zipatso, makamaka zipatso za zipatso.
• Nyama ndi nsomba siziyenera kukhala zonona komanso kuphika bwino. Ndikwabwino kukana zinthu zomalizidwa, komanso zinthu zokhala ndi zowonjezera zambiri.
• Zakudya zamafuta osavuta ziyenera kuchotsedwa kwathunthu kuzakudya.
• Njala imaphatikizidwa, zakudya zabwino zimavomerezedwa, momwe munthu amadya kasanu patsiku m'magawo ang'onoang'ono.
• Ndikofunika kuphika, kuphika, kuwotcha kapena kuwira chakudya, ndibwino kukana kukazinga.

Munthu aliyense ayenera kukambirana za kadyedwe kake ndi dokotala, chifukwa zimatengera momwe thupi lake limakhalira ndi chithunzi cha matendawa.

Pa nthawi yoyembekezera

Amayi onse oyembekezera omwe adalembetsedwa ndi adotolo amayenera kukayezetsa magazi ndi kulolera kwa glucose, popeza mwana ali kale pachiwopsezo cha matenda ashuga. Amayi omwe akumana ndi vutoli ayenera kukumbukira kuti si nthawi yoyeserera komanso kutsatira malangizo a adokotala.

Chimodzi mwazomwe tikukulimbikitsani ndikusiyana ndi zakudya zomwe zili ndi zopatsa mphamvu za m'mimba.

Amathandiza kupatsa thupi zinthu zofunika ndi mavitamini, popanda kulemera komanso kutulutsa shuga m'magazi.

Zakudya zochepa zimasankhidwa, kusamalira kuti kukula kwake ndi kochepa. Zinthu zochepetsa shuga la magazi ziyenera kupezeka m'zakudya zochuluka.

Zakudya zochepetsa shuga kuti mupewe kupindika m'magazi a m'magazi

Anthu omwe ali ndi hyperglycemia ayenera kuphunzira zomwe zakudya zotsitsa shuga zilipo ndikuziphatikiza ndi zakudya.

Izi zikuthandizira kukonza bwino komanso kupewa mavuto obwera chifukwa cha kuchuluka kwa shuga m'magazi. Pakukumbukira bwino, adagawika m'magulu ndipo adalembedwa pagome pano.

Kwa anthu omwe ali ndi matenda ashuga, zakudya zopanda index ya glycemic ndi abwenzi abwino komanso othandizira omwe ayenera kukhala patebulo nthawi zambiri momwe angathere.

Zipatso za shuga ndi zipatso za zipatso

Pali zoletsa zopatsa thanzi kwambiri kwa anthu omwe ali ndi matenda ashuga. Zipatso zimakhala m'gulu la zakudya zomwe zimachepetsa shuga zomwe zingabweretse zabwino komanso zovulaza. Zonse zimatengera kuchuluka kwa chakudya chamafuta chomwe amakhala nacho.

Odwala amafunika kuphatikiza zipatso m'zakudya mosamala, kutsatira malangizo a dokotala. Phindu lawo kwa thupi la wodwalayo likuwonekeratu, popeza ali ndi michere yambiri komanso mavitamini.

Kugwiritsa ntchito kwawo kumathandizira kuyeretsa thupi la zinthu zowola ndikupanga kuperewera kwa zinthu zofunika, komanso kumathandizanso kukulitsa chitetezo ku tizilombo toyambitsa matenda komanso ma virus omwe nthawi zonse amangowononga thupi.

Zipatso za citrus zimakhala ndi Vitamini C wambiri, zomwe zimateteza thupi la wodwalayo, komanso zimathandizira kulimbitsa mitsempha yamagazi.

Anthu odwala matenda ashuga, omwe amaphatikiza zipatso muzakudya, ali pachiwopsezo cha matenda oopsa komanso kuperewera kwa mphamvu ya m'matumbo.

Musaiwale kuti zipatso za zipatso ndi zipatso zomwe zimakhala ndi shuga, choncho muyenera kuyandikira kugwiritsa ntchito zipatso zilizonse mosamala, kuwerengetsa zomwe zili ndi shuga mkati mwake ndikusintha zakudya motsatira kuchuluka kwake.

Odwala ayenera kudziwa zomwe mitundu ingapo ya zipatso zimatulutsa:

• Mphesa Amawerengedwa kuti ndi amodzi mwa zipatso zothandiza kwambiri kwa odwala matenda ashuga, popeza ndiopatsa thanzi kwambiri, amathandiza kukonza chimbudzi ndikuchotsa shuga m'magazi.
• Malalanje imatenga malo wachiwiri olemekezeka muubwino wa odwala matenda ashuga pakati pa zipatso za zipatso. Itha kudyedwa ndimatenda a mitundu yoyamba ndi yachiwiri. Amakhutitsa thupi ndi vitamini C, amateteza ku matenda oyambitsidwa ndi mavairasi, amakhutitsa maselo ndi michere ndikuwonjezera chitetezo chokwanira.
• Ma tangerine kukhala ndi otsika glycemic index, motero, akhoza kuphatikizidwa mu zakudya za odwala omwe ali ndi matenda ashuga. Ndi zipatso zotsekemera, odwala ayenera kusamala, popeza ali ndi shuga ochulukirapo. Nutritionists amalimbikitsa kuti odwala atenge chimbudzi cha peel. Kuti mukonzekere, muyenera kusenda ma tangerine atatu ndi kuwiritsa zikopa zawo kwa mphindi 10 mu madzi okwanira 1 litre.
• Ndimu amatanthauza zakudya zochepetsa shuga, motero ndizothandiza kwa odwala matenda ashuga. Madzi awo, omwe amawonjezeredwa ku chakudya, amathandizira kulimbitsa mitsempha ya magazi ndikuyeretsa magazi. Makonda ayenera kuperekedwa kwa zipatso zokhala ndi khungu loonda, ndizothandiza kwambiri. Wodwala amatha kudya ndimu imodzi patsiku, ngati thupi lake lingathe kupirira chakudya.
• Pomelo zothandiza kwa odwala matenda ashuga, koma muyenera kusamala ndi momwe amagwiritsidwira ntchito, popeza mumapezeka mafuta ochulukirapo, motero sichinthu chotsitsa shuga.

Ndi matenda ashuga, anthu amatha kudya zipatso zamtundu uliwonse pamlingo wochepa kuti athandizire thupi.

Mbale ndi zitsamba zothandizira kuchepetsa shuga

Kwa anthu omwe ali ndi matenda ashuga, tikulimbikitsidwa kugwiritsa ntchito mitundu yochepa chabe ya mbewu monga chimanga yomwe ili ndi mafuta ochepa. Adzapindula ndi phala lopangidwa ndi oat, tirigu, chimanga kapena barele.

Buckwheat amatenga malo apadera muzakudya, popeza zimatha kugaya mosavuta ndipo sizikhudza kagayidwe kazakudya.

Kugwiritsa ntchito phala la buckwheat sikuyambitsa kulumpha m'magazi am'magazi, chifukwa kumathandizira pamlingo wina.

Zitsamba ndi zonunkhira ndizothandiza kwambiri kwa shuga wambiri. Amalimbikitsidwa kuti aziwonjezeredwa pambale zosiyanasiyana, komanso kudya osankhidwa mu saladi kapena kungotsukidwa ndi madzi. Ngakhale msipu wowerengeka womwe umatha kubweretsa zabwino ku thupi lomwe limadwala hyperglycemia.

Asayansi amagawa chakudya mu "zosavuta" komanso "zovuta". Ndikosavuta kwa odwala matenda ashuga kuwagawa mwachangu komanso pang'onopang'ono, omwe amatengedwa ndi thupi mwachangu.

Gulu loyamba liyenera kusiyidwa lokwanira, chifukwa limapweteka kwambiri kuposa labwino. Pang'onopang'ono chakudya chamafuta chimaloledwa pang'ono.

Amapezeka mu nyemba, kabichi, masamba obiriwira, Yerusalemu artichoke, mtedza, nyama yamafuta ochepa, mazira, nsomba zamtsinje, nsomba zam'madzi ndi zinthu zamkaka (zina).

Momwe mungapangire kuti mukhale ndi shuga

Palibe chifukwa chomwe mafuta athanzi angachotsedwire zakudya, thupi limafunikira. Chachikulu ndikupewa mafuta amafuta, omwe sangabweretse phindu.

Povala, tikulimbikitsidwa kugwiritsa ntchito mafuta oponderezedwa ozizira, mwachitsanzo, mafuta opendekeka kapena mafuta a mtedza. Chakudya chitha kuphika mu mafuta a kokonati kapena mafuta a maolivi chitha kugwiritsidwa ntchito pazolinga izi.

Okonda zonona amatha kudya msuzi wa tahini m'miyeso yaying'ono.

Thandizani mankhwala achikhalidwe

Ndi matenda a shuga, limodzi ndi zakudya zoyenera komanso kuyamwa kwa insulin (ngati pangafunike), mutha kusintha mkhalidwe wanu mothandizidwa ndi maphikidwe a mankhwala achikhalidwe. Pankhaniyi, amatha kukhala othandiza kwambiri ngati asankhidwa moyenera. Musanagwiritse ntchito, ndikofunikira kufunsa dokotala ndikuwerenga ndemanga.

Mu matenda a shuga

Matenda A shuga: Mwazi

Sianthu onse omwe amadziwa kuti milingo ya shuga (shuga) m'magazi a munthu wathanzi komanso wodwala yemwe ali ndi matenda ashuga ndizosiyana kwambiri.

Komabe, kuti mukhale otsimikiza za thanzi lanu, muyenera kudziwa chomwe chimakhala chokwanira komanso chomwe chingadutse mulingo woyenera. Ndipo kungoyesedwa kokha ndi komwe kungathandize kuzindikira zotere.

Muyeneranso kumvetsetsa momwe kuchuluka kwa shuga kumasinthira tsiku lonse ndi zomwe zimakhudza.

Poyamba, ndikofunikira kunena kuti kuchuluka kwa shuga (glucose) m'magazi ndi chimodzi mwazofunikira kwambiri mwazomwe zimayimira mkati mwa thupi.

Zambiri zimawonetsa momwe zimapangidwira kagayidwe kazakudya m'thupi la munthu, chifukwa glucose ndiye gawo lalikulu pochita izi, ndipo chifukwa cha izi, njirayi imakhalapo ndipo imagwira ntchito. Glucose imakhalanso gawo lamphamvu lamaselo onse.

Zotsatira zake ndikuti mukatha kudya chilichonse mthupi mankhwalawa amayamba kuchuluka, motero munthu amakhala wolimbikira.

Glucose imapezekanso m'makina ovuta am'mimba, omwe amamwa omwe amapezeka kudzera m'mimba. Muyenera kudziwa kuti chizolowezi sichikhala choposa chizolowezi, chifukwa izi zimapangitsa mavuto ambiri.

Mu gawo lalikulu la milandu, mulingo wolakwika wa magazi m'magazi umakhudzana ndi chiwindi. Chiwindi chimagwira ngati mtundu wa kuyimitsa, pomwe shuga umapangidwa ndikukhala glycogen. Pambuyo pa njirayi, gawo la glycogen limadutsa m'magazi, gawo limalowa mu madzi amkati. Komabe, ambiri amakhalabe m'chiwindi.

Pogwira ntchito zolimbitsa thupi, glycogen yomwe imatsalira m'chiwindi imaphwanyidwa ndikupititsidwa ku magazi. Miyezo ya shuga imatha kukwera ndi nkhawa zochuluka.

Kuti muwone mulingo wa gululi, muyenera kuchita mayeso apadera. Kuyesaku kumachitika m'mawa pamimba yopanda kanthu (chakudya chikadayenera kuti chafika pafupifupi maola 8 apitawo). Kupanda kutero, kuyesaku kulibe ntchito.

Zizindikiro ziyenera kukhala chiyani

Kwa odwala akuluakulu, kuchuluka kwa glucose m'magazi sikuyenera kupitirira 6.0 mmol / lita:

• Matenda a shuga: glucometer M'mawa, shuga ayenera kukhala pamlingo wa 3.9-5,5 mmol / lita.
• Maola awiri mutatha kudya, chizindikirocho sichikuyenera kupitirira 8.1 mmol / lita ndipo osachepera 3.9 mmol / lita.
• Nthawi zina, shuga azikhala pamlingo wa 6.9 mmol / lita ndipo osatinso.

Ngati munthu akudzikayikira yekha ndi matenda a shuga, ndiye kuti muyenera kuyesa mayeso a shuga m'magazi. Kuti muchite izi, muyenera kupita kuchipatala ndikupita kukayesedwa. Mutha kugulanso glucometer ku pharmacy. Izi zipangitsa kuti azitha kuwunika kuchuluka kwa glucose tsiku lonse.

Popeza chizolowezi chimadziwika kale kwa wodwala, chifukwa cha glucometer, kuyezetsa magazi kungachitike. Kuyesedwa koteroko kumapangitsa kuti athe kuyeza chimodzimodzi shuga yemwe amatengedwa m'magazi nthawi yomweyo ndi chakudya chamafuta.

Matenda a kapamba mwa munthu yemwe amatha kudwala matenda a shuga sangathe kupanga insulini, yomwe imakhala yofanana ndi odwala omwe ali ndi matenda amtundu wa 1, kapena kuchuluka kwa insulin yocheperako, ndipo izi zimachitika mwanjira yachiwiri ya matenda ashuga. Pachifukwa ichi, shuga m'magazi a shuga azikhala apamwamba kuposa abwinobwino.

Ngati mulingo wambiri wa magazi ndi wofanana ndi mfundo zapamwamba, ndiye kuti zizindikiro za matenda ashuga zimatuluka: ludzu, kamwa yowuma, kuchuluka kwamikodzo, kufooka m'thupi, kusawona bwino. Zizindikiro zoterezi zitha kukhala zogwirizana. Ngozi yeniyeni imakhalapo pamene kuchuluka kwa shuga kumachulukirachulukira.

Choopsa ndichani shuga

Vutoli lingathenso kuoneka ngati zovuta zingapo za matenda ashuga. Mwachitsanzo, mitsempha ndi mitsempha yamagazi mthupi imatha kukhudzidwa.

Mayesero ambiri adatha kutsimikizira kuti shuga wokwanira shuga amatha chifukwa cha zovuta zomwe zimapangitsa kuti pakhale kulemala komanso kufa koyambirira.

Kuwopsa kwakukulu pakati pamavuto ndi kuchuluka kwa glucose mutatha kudya.

Ngati glucose wamagazi nthawi zina amatha kudya pambuyo pake, ndiye kuti izi zimawonekera ngati chizindikiro choyamba cha matenda. Matendawa ali ndi nthawi yake - "prediabetes" kapena kuphwanya kuleza kwa carbohydrate. Zizindikiro zomwe ndizofunika kwambiri ndizophatikiza izi:

• Kwa nthawi yayitali kuti muchiritse mabala.
• Makamu.
• Kutsekemera kwa mano.
• Mitundu yosiyanasiyana yothandizira.
• Kufooka kwa thupi.
• Kugwira ntchito moyipa.

Vutoli limatha kukhala kwa zaka zambiri, komabe, kupezeka kwa matenda osokoneza bongo sikungakhazikike. Malinga ndi ziwerengero, pafupifupi 50% ya anthu odwala matenda ashuga a 2 sadziwa kapena amakayikira kuti matendawa alipo.

Monga lamulo, chitsimikiziro chabwino kwambiri cha ichi ndi chakuti pafupifupi 1/3 ya odwala amapeza nthawi yomweyo zovuta za matenda ashuga panthawi yomwe adapezeka, omwe adatha kupanga pamenepo chifukwa chakuwonjezeka kwa shuga wamagazi atatha kudya.

Ichi ndichifukwa chake aliyense amalangizidwa kuti azitsata zaumoyo wawo komanso moyo wawo, komanso nthawi zina amafufuza kuchuluka kwa shuga m'magazi awo.

Kupewa ndi Chithandizo cha Matenda

Popewa matenda a shuga, zotsatirazi ziyenera kutsatiridwa:

• Nthawi zina ndikofunikira kuyang'ana shuga wanu wamagazi.
• Mowa ndi ndudu siziyenera kupatula.
• Zakudya zopatsa thanzi ndi njira yabwino kwambiri yopezera zakudya (magawo ang'onoang'ono maola aliwonse atatu).
• Mafuta a nyama omwe amapezeka muzakudya ndiofunika kusintha m'malo ndi masamba azamasamba.
• Zakudya zamafuta, zomwe zilinso pamndandanda, zimafunikira kuchepetsedwa. Ndikofunika kwambiri kuti musamadye maswiti ambiri.
• Osachepera khalani pangozi yovuta.
• Khalani ndi moyo wokangalika.

Pofuna kuchiza matenda a shuga, njira zotsatirazi zimagwiritsidwa ntchito:

• Kukana kwa zinthu zomwe kuchuluka kwa chakudya chamafuta.
• Chitani masewera olimbitsa thupi.
• Kumwa mankhwala ochepetsa shuga (insulin, mapiritsi omwe amachepetsa shuga la magazi).
• Kusunga magwiridwe abwinobwino a shuga (kuyang'anira pafupipafupi tsiku lonse).
• Kudziletsa kudziletsa pawokha ndi matenda.

Anthu ambiri amadziwa za chinthu monga hyperglycemia. Zimagwira ngati chofunikira kwambiri pakuwonetsa matenda osachiritsika, chifukwa chake mulingo wa glucose uyenera kukhala wabwinobwino nthawi iliyonse.Komanso, musalole mkhalidwe monga hypoglycemia, pomwe amachepetsa kwambiri shuga.

Pomaliza, ndikofunikira kuwonjezera kuti kuyesa ndi njira yolepheretsa kapena yochiritsa ndi gawo lofunikira panjira yakuchira!

Zimayambitsa kuwonjezeka kwa shuga m'magazi kupatula shuga

Ngati glucose wamagazi mumayesedwe ndi apamwamba kuposa abwinobwino, ndiye kuti ndi koyambirira kwambiri kuti mupeze zomwe zingachitike. Wodwalayo ayenera kuyesedwa.

Kuwonjezeka kwa shuga m'magazi kungakhale chifukwa cha:

• Kusuta
• PMS mwa akazi
• Kuchita masewera olimbitsa thupi kwambiri
• Zovuta zovuta, kugwira ntchito mopitirira muyeso

Kuti zotsatira zake zikhale zodalirika, simuyenera kusuta musanayambe kuphunzira, ndikofunika kupewa katundu wambiri ndikukhala odekha.

Kuwonjezeka kwa shuga m'magazi kungakhale chifukwa cha zifukwa zotsatirazi:

• Zizolowezi zoipa
• Zakudya zowonjezera zomanga thupi
• Matenda a endocrine system (thyrotooticosis, pheochromocytoma, etc.)
• Matenda a impso, kapamba, chiwindi (kapamba, cirrhosis, chotupa)
• Matenda a shuga
• Hyperglycemia imatha kuwonetsedwa pogwiritsa ntchito mankhwala ena: glucocorticoids, diuretics, njira zakulera, mahomoni, ndi zina zambiri.
• Pali nthawi zina zomwe shuga amatuluka kwakanthawi kochepa. Izi zimawonedwa ndi kupsa, mtima wamphamvu, kugunda kwa angina pectoris, opaleshoni pamimba, komanso kuvulala kumutu.

Matenda a shuga ndi imodzi mwazofala, chizindikiro choyamba chomwe ndi kuchuluka kwa shuga m'magazi.

Matendawa amatha kuchitika m'magawo angapo:

1. Mtundu woyamba wa matenda a shuga 1 ndi autoimmune mwachilengedwe, i.e. maselo omwe amatenga nawo mbali pantchito ya insulin amawonongeka ndi maselo a chitetezo cha mthupi. Pancreas sipanga insulin yokwanira, mahomoni omwe amayang'anira glucose wamagazi.
2. Kukula kwa matenda ashuga amtundu wa 2 kumachitika chifukwa chopanga insulin kapena kusazindikira maselo kwa timadzi tambiri. Zotsatira zake, glucose simalowa m'maselo, koma amadziunjikira m'magazi.

Mawonetseredwe azachipatala

Pali zizindikiro zina zomwe zikuwonetsa kuchuluka kwa shuga m'magazi:

• Udzu wokhazikika
• Kuyamwa mwachangu
• Kuchepetsa thupi mwadzidzidzi
• Pakamwa pakamwa
• Mpweya wa acetone
• Arrhasmia
• Kutopa
• Zowonongeka
• Mutu wapafupipafupi
• Khungu loyera

Ndi kuwonjezeka kwa glucose, madzimadzi amachotsedwa m'thupi, chifukwa cha zomwe ziwalo, minofu ndi maselo zimasowa madzi. Kenako chizindikiro chimabwera m'mutu ndipo munthuyo akumva ludzu. Pa chifukwa chomwechi, pakamwa youma kamayamba.

Kuchepetsa thupi kumachitika chifukwa champhamvu yanjala yamthupi. Ngati zina mwazizindikirozi zilipo, ndiye kuti muyenera kufunsa dokotala ndikupereka magazi a shuga.

Matenda a shuga

Kuyesedwa kwa magazi kumatengedwa kuti mupeze shuga yanu. Phunziroli limachitika mosamala pamimba yopanda kanthu. Mwazi umatengedwa kuchokera mu mtsempha waubalo.

Nthawi zambiri, kuchuluka kwa shuga mwa munthu wathanzi kuyenera kukhala 3,9-5 mmol / L. Ngati shuga ali pamtunda wa 6.1-7 mmol / l, ndiye kuti phindu limawonedwa ngati glycemia. Pamwamba pa 7 mmol / L - shuga.

Ngati pambuyo pa maola awiri ndende imakhala yochepera 7.8 mmol / l, ndiye kuti izi zimadziwika. Mwanjira yatsopano ya matenda ashuga, zakudya zomwe shuga atatha kukhala ndi maola awiri azikhala mumtunda wa 7.8-10.9 mmol / L. Kuzindikira kumapangidwa pomwe chizindikirocho chimaposa 11 mmol / l.

Mukuyenera kudziwa kuti mukawulula mawonekedwe amitundu, kukula kwa shuga kumawonedwa nthawi zambiri. Ndikofunikira kuyang'anira shuga wamagazi ndikutsatira malingaliro onse a dokotala, kuti mupewe kukula kwa matendawa.

Matenda a shuga

Wodwala ndi mankhwala omwe amachepetsa shuga. Dotolo ayenera kudziwa chomwe chinayambitsa kuwonjezeka kwa shuga komanso zomwe zimapangitsa kuti ntchito ya endocrine isamayende bwino komanso kuti ziwalo zina ziwonongeke.

Wodwala ayenera kusintha moyo wake: azikhala ndi zakudya zoyenera, azichita masewera olimbitsa thupi, kumwa mankhwala ena ake. Anthu odwala matenda ashuga ayenera kuyang'ana shuga wawo wamagazi tsiku lililonse. Ndikofunikira kuchepetsa kuchuluka kwa zopatsa mphamvu kwa akazi mpaka 1000-1200 kcal, kwa amuna mpaka 1200-1600 kcal.

Mwa zomwe mwapanga, oatmeal, buckwheat, nsomba, nsomba zam'madzi, ndi nyama yochepa yamafuta ophika ndizofunika kwambiri. Zotsatirazi ziyenera kusiyidwa kwathunthu ndi zakudya: shuga, caramel, maswiti, mafuta a ufa, semolina, mpunga, nyama yamafuta ndi nsomba, mafuta amkaka, zakudya zamzitini. Muyenera kusiyanso zipatso zomwe zimakhala ndi shuga wambiri: masiku, mphesa, mapichesi, yamatcheri, ndi zina zambiri.